Personal Time Off Request Form printable pdf download

Personal Time Off Request Form

PERSONAL TIME OFF (PTO) REQUEST FORM

Your request for time off must be submitted and approved by management two weeks in advance of

the designated PTO date(s) requested.

EMPLOYEE INFORMATION

EMPLOYEE NAME: __________________________________________________

CLIENT NAME (BUSINESS):___________________________________________

Directions: Indicate your PTO choice(s) in the space(s) below. Sign, date and forward to the laboratory Lead

supervisor (client) for approval. Once that approval is obtained it must be sent by you to Astrix and approved

by an Astrix representative.

PTO date(s)/hours requested:

_______________________________________________

______________________

Employee Signature

Request Date

CLIENT APPROVAL

Approved

Denied

_______________________________________________

Lead Biological Scientist Name & Title (PLEASE PRINT)

_______________________________________________

Client Signature and Date

ASTRIX APPROVAL

Approved

Denied

_______________________________________________

Astrix Signature and Date

Personal Time Off Request Form